| NPI | 1326279795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN IVAN SUTTER Owner/President 973-778-2083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA03777100) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |